late treatment of brachial plexus palsy secondary to birth injuries: rotational osteotomy of the...

Late Treatment of Brachial Plexus Palsy Secondary to Birth Injuries: Rotational Osteotomy of the Proximal Part of

the Humerus*

by JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS

J Bone Joint Surg AmVolume 80(10):1477-83

October 1, 1998

©1998 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A and 1-B: Case 9.

JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80:1477-83


Fig. 1-B: Fourteen years after the osteotomy, the patient was able to bring the hand to the mouth without any difficulty and the trumpeter sign was not present.



Figs. 2-A through 2-F: Case 6.



Figs. 2-B: Preoperatively, at the age of ten years, the arm was kept in 70 degrees of internal rotation with further active rotation to 110 degrees.



Figs. 2-C: Preoperatively, at the age of ten years, the arm was kept in 70 degrees of internal rotation with further active rotation to 110 degrees.



Fig. 2-D Eighteen years after the osteotomy, the active range of motion of the arm had increased; external rotation was 45 degrees, and internal rotation was 80 degrees.



Fig. 2-E Eighteen years after the osteotomy, the active range of motion of the arm had increased; external rotation was 45 degrees, and internal rotation was 80 degrees.



Fig. 2-F Eighteen years after the osteotomy, the active range of motion of the arm had increased; external rotation was 45 degrees, and internal rotation was 80 degrees.



Figs. 3-A and 3-B: Case 19.



Fig. 3-B: Five years after the osteotomy, abduction had improved and was possible in the frontal plane.



late treatment of brachial plexus palsy secondary to birth injuries: rotational osteotomy of the...

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